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Mi Local Perks
 

     Business Member Log In Only: Log In Not Required for Shoppers:

Bronze Application

Level
4 - Bronze Membership (Free) Subscription period: Quarterly Automatic renewal: no
To become a business member at the Bronze level and to be included in the database, please complete the application form below:

Free business members are asked to please place a link from our website onto your website--if you have one.  Copy and paste: (http://www.milocalperks.com).

Fill in application form

Application form

* Mandatory fields
 

 

*First name
*Last name
*Organization
Logo
 

Contact Data

*e-Mail
Phone
*Password
 
*Website
*City
*Province/State
*Postal code
*Yes, I Agree to Terms
Name of Sales Rep (if there was one)
URL where you put our website link
 

Points & Specials

*How Do I Redeem Points?
*Special #1
*Spec. #1 - Exp. Date:
 

Business Details

*Business Category
If other-not listed, what is your business category?

Security check

* Code
 
Type the 6 characters you see in the picture
Captcha code image
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